穿透眶上裂的木质异物。

J Zentner, W Hassler, D Petersen
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引用次数: 43

摘要

我们报告一名十二岁的病患,其内嵌的木质异物已穿透眶上裂。采用经筛门窦入路,仅去除部分位于眶周软组织的碎片。患者开始发热,提示异物残留引起的感染性并发症。经CT扫描和MRI证实,眶上裂有一主要碎片。通过翼点硬膜外入路完全切除木材。本文讨论了识别木质异物的困难以及眶上裂入路所涉及的地形问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A wooden foreign body penetrating the superior orbital fissure.

The case of a 12-year-old patient with a wooden foreign body which had penetrated the superior orbital fissure is presented. Using a transethmoidal approach, only some splinters lying in the periorbital soft tissue were removed. The patient became febrile, indicating an infectious complication due to a retained foreign body. This was confirmed by CT scan and MRI demonstrating a main splinter in the superior orbital fissure. Total removal of the wood was achieved via a pterional extradural approach. The difficulties of identifying wooden foreign bodies as well as the topographical problems involved with the approach to the superior orbital fissure are discussed.

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